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2015 Medicare Advantage Plan Benefit Details


Medicare Advantage Plan Benefit Details for:
Windsor Medicare Extra Emerald Plan (HMO)


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: : Sign-up for our Medicare Part D Newsletter.
: : 2015 PDP-Finder: Medicare Part D (Drug Only) Plan Finder
: : PDP-Compare: 2014/2015 Medicare Part D plan changes
: : 2015 MA-Finder: Medicare Advantage Plan Finder
: : MA-Compare: 2014/2015 Medicare Advantage plan changes
: : Drug Finder: 2015 Medicare Part D plan drug search
: : Formulary Browse: View any 2015 Medicare plan formulary
: : 2015 Browse Drugs By Letter
: : Find a 2015 Medicare plan by annual drug costs
: : PDP-Facts: 2015 Medicare Part D plan Facts & Figures
: : Medicare Part D Reminder Service: 2016
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. All of the Medicare Advantage and prescription drug plan data on our site comes directly from Medicare.

Tips & Disclaimers
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA....
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to Medicare Part D IRMAA, just as are members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • When enrolled in a Medicare Advantage plan, you must have both Part A and B to enroll. Members may enroll in the plan only during specific times of the year. Contact the plan for more information.
  • For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Private Fee-for-Service plan is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Institutional SNP: "This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home."
  • Dual Eligible SNP: This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Chronic Condition SNP: "This plan is available to anyone with Medicare who has been diagnosed with <Chronic Condition>."
  • MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans don’t cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate Medicare Prescription Drug Plan.
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may also enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.


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